Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $147.91 / $213.80	Professional		$112.20	$147.91	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $165.96 / $457.09	Professional		$144.54	$165.96	$457.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $162.18 / $331.13	Facility		$112.20	$162.18	$331.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $346.74 / $549.54	Professional		$128.82	$346.74	$549.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $269.15 / $575.44	Professional		$181.97	$269.15	$575.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $162.18 / $363.08	Facility		$112.20	$162.18	$363.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $218.78 / $407.38	Professional		$79.43	$218.78	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $457.09 / $933.25	Professional		$208.93	$457.09	$933.25